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Changes in Perception and Attitude on the Nurses Role by the Shadowing Experience: A Nurse Day

Authors

  • Jiun-Lu Lin
  • Yung-Wei Hsu
  • Shu-Chuan Lin
  • Chun-Chih Peng
  • Hsi-Hsien Hsu
  • Shou-Chuan Shih

Theme

4JJ Interprofessional education 1

INSTITUTION

Mackay Memorial Hospital, Taipei, Taiwan
Mackay Medical College, New Taipei City, Taiwan

Background

Given the increasing complexity of current health care environment, health care professionals need to work together more effectively to provide better patient care. This Interprofessional education (IPE) program “A Nurse Day” gave medical students a chance to follow nurses throughout their work day and to realize the role of professional nurse.

Summary of Work

An Interrofessional Education Questionnaire of Nurse’s Role (IEQNR) was developed and distributed to forty fifth-year medical students and forty nursing staffs who participated in a one- to- one “A Nurse Day” IPE program. All the students were asked to complete an open questionnaire after the shadowing experience and to attend a post-IPE discussion forum.  

Summary of Results

All medical students witnessed the nurse performing procedures, making critical decisions, liaising with various health care professionals, and interacting with patients and their families. The students reported increase understanding to nurse professionals, openness to learn from nurses and also their ability to communicate with nurses.

Conclusion

“A Nurse Day” improved the collaboration between health care professionals not only through the understanding of the real work role of nurse but indeed changed the perception and attitude of medical students. 

Take-home Messages

“A Nurse Day” provides an amicable way for undergraduate medical students to get a clear understanding of nurse’s role and also changed their perception and attitude of nursing .

Acknowledgement

We thank all ward nurses and medical students contributed to implementing the "A Nurse Day" IPE proram. In addition, we would to thank the questionnaire desingers; without their hard work, this study could not have been done.

Background
Summary of Work

Category

Questionnaires of Nurse Shadowing Experience

1

2

3

4

5

Provider-patient relationship

1. Compared to physicians, nurses spend more time with patients

 

 

 

 

 

2. Patients are more willing to tell nurses about their physical conditions or psychological problems

 

 

 

 

 

3. Compared to physicians, nurses give patients and their families more comfort and assistance

 

 

 

 

 

Nursing professions

4. Discussing treatment options with physicians and executing it are the responsibilities of nurses

 

 

 

 

 

5. The only role of a nurse is to be the messenger between patients and physicians

 

 

 

 

 

6. Nurses are not bound to the physician’s orders and should be able to apply their clinical expertise and experience with independent judgment when performing their nursing duties

 

 

 

 

 

Nurse’s role

7.Compared to physicians, clinical information obtained through the nurse are more complete and direct

 

 

 

 

 

8. Nurses are the main coordinators of patient’s health care-related matters

 

 

 

 

 

9. Nurses get less respect from patients than physicians

 

 

 

 

 

Medical student’s experience

10. Having a nurse shadowing experience can greatly improve communication and mutual cooperation between physicians and nurses

 

 

 

 

 

11.To the medical students, the experience of undergoing a nurse shadowing experience can not be substituted

 

 

 

 

 

Table 1.  Interrofessional Education Questionnaire of Nurse’s Role (IEQNR)

Likert’s scale:  1. Strongly disagree  2. Disagree  3. Neither agree nor disagree  4. Agree  5. Strongly agree

Summary of Results

Table 2. Nurse Questionnaire Result

Category

Case Number

Pre-test mean

Post-test mean

Mean difference

p-value

Provider-patient

relationship

40

4.1624

4.2479

-0.08547

0.077

Nursing professions

40

3.7863

3.8291

-0.04274

0.376

Nurse’s role

 

40

3.1880

3.3419

-0.15385

0.000

Medical student’s

experience

40

3.8718

4.0641

-0.19231

0.096

Table 3. Medical Students Questionnaire Result (Paired t-test)

Category

Case Number

Pre-test mean

Post-test mean

Mean difference

p-value

Provider-patient relationship

38

3.7105

4.4035

-0.69298

0.000

Nursing professions

38

3.4123

3.6842

-0.27193

0.003

Nurse’s role

 

38

3.2368

3.5702

-0.33333

0.001

Medical student’s experience

38

4.1053

4.6053

-0.50000

0.000

 

Conclusion
Take-home Messages
Acknowledgement
References
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