Specializations in nursing: the students' perspective

Authors

  • Martin Sever Zgornja Dobrava 35a SI-4246 Kamna Gorica
  • Branko Bregar Psychiatric Clinic Ljubljana Studenec 48 SI-1260 Ljubljana

DOI:

https://doi.org/10.14528/snr.2015.49.1.49

Keywords:

nurse specialist, specialist knowledge, postgraduate education

Abstract

Introduction: In Slovenia, nursing students and professionals do not yet have the possibility for specialized career development. The aim of the study is to determine the students' plans for their career development and their views on nursing specialization. Methods: Data were collected via an online questionnaire (alpha = 0.82). The sample included students from three faculties in Slovenia that offer nursing programmes. 385 questionnaires were returned. Data analysis was performed with the SPSS software (version 20.0): t-test, ANOVA, Pearson's correlation and factor analysis. Results: 258 (67 %) of respondents would continue their studies. The specializations most often identified are: urgent medical assistance (20 %), anaesthesiology and intensive therapy (14 %) and surgical care (11 %) and so forth. Older students choose reasons that are linked more to nursing, while younger students choose reasons that are linked more to medicine. It is more characteristic of men to put an emphasis on economic reasons for developing specializations (t = 0.552, p = 0.011). Students in a more senior year (F = 2.407, p = 0.041) or with a higher average grade put an emphasis on reasons for specializations that are linked to nursing. Discussion and conclusion: Students view specializations as necessary to ensure a sustainable health care system in Slovenia and as an option for continuing their studies.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Martin Sever, Zgornja Dobrava 35a SI-4246 Kamna Gorica

Martin Sever, dipl. zn.

Branko Bregar, Psychiatric Clinic Ljubljana Studenec 48 SI-1260 Ljubljana

viš. pred. mag. Branko Bregar, dipl. zn

References

Aiken, L.H. & Cheung R., 2008. Nurse workforce challenges in the United States: implications for policy. OECD health working papers no. 35. Paris: OECD Publishing. Available at: http://www.oecd.org/unitedstates/41431864.pdf 8. 5. 2013.

Altman, T.K., 2011. Registered nurses returning to school for a bachelors degree in nursing: issues emerging from a meta-analysis of the research. Contemporary Nurse, 39(2), pp. 256–272. http://dx.doi.org/10.5172/conu.2011.39.2.256 PMid:22551437

Bregar, B., Živič, Z., Jambrošič, I., Lapanja, A., Roljić, S., Stopar Stritar, A., et al., 2013. Specializacije v zdravstveni negi: primer psihiatrične zdravstvene nege. In: Skela Savič, B., Hvalič Touzery, S., Zurc, J., Skinder Savić, B., eds. Zahtevnejše oblike dela v zdravstveni negi: mednarodni pristopi in stanje v Sloveniji? 6. posvet z mednarodno udeležbo Moja kariera - quo vadis, Ljubljana, 27. 3. 2013. Jesenice: Visoka šola za zdravstveno nego, pp. 63–77.

Bryant-Lukosius, D., Dicenso, A., Browne, G., & Pinelli, J., 2004. Advanced practice nursing roles: development, implementation and evaluation. Journal of Advanced Nursing, 48(5), pp. 519–529. http://dx.doi.org/10.1111/j.1365-2648.2004.03234.x PMid:15533090

Brown, S.A. & Grimes, D.E., 1995. A meta-analysis of nurse practitioners and nurse midwives in primary care. Nursing Research, 44(6), pp. 332–339. p://dx.doi.org/10.1097/00006199-199511000-00003 PMid:7501486

Brown, J., Nolan, M., Davies, S., Nolan, J. & Keady, J., 2008. Transforming students' views of gerontological nursing: realising the potential of 'enriched' environments of learning and care: a multi-method longitudinal study. International Journal of Nnursing Studies, 45(8): pp. 1214–1232. http://dx.doi.org/10.1016/j.ijnurstu.2007.07.002 PMid:17697678

Cencič, M., Čagran, B. & Ivanuš Grmek, M., 2009. Kako poteka pedagoško raziskovanje: primer kvantitativne empirične neeksperimentalne raziskave. Ljubljana: Zavod RS za šolstvo, p. 49.

Delamaire, M. & Lafortune, G., 2010. Nurses in advenced roles: a description and evaluation of experiences in 12 developed countries. OECD health working papers no. 54. Paris: OECD Publishing. http://dx.doi.org/10.1787/5kmbrcfms5g7-en

Dubois, C.A. & Singh, D, 2009. From staff-mix to skill-mix and beyond: towards a systemic approach to health workforce management. Human Resources for Health, 7, p. 87. http://dx.doi.org/10.1186/1478-4491-7-87. PMid:20021682; PMCid:PMC2813845

Grothier, L., 2012. A future for specialist nursing? British journal of community nursing, 17(12), p. S5.

Grymonpre, R., van Ineveld, C. & Nelson, M., 2013. Inter-professional clinical placements as a recruitment strategy in geriatrics: survey of students' perceptions. Healthcare Quarterly (Toronto, Ont.), 16(3), pp. 53–56. PMid:24034778

Horvat, M., Zaletel, M., Kramar, Z. & Skela Savič, B., 2013. Posvet o specializacijah 2010: kje smo danes? In: Skela Savič, B. & Hvalič Touzery, S., eds. Zahtevnejše oblike dela v zdravstveni negi: mednarodni pristopi in stanje v Sloveniji? 6. posvet z mednarodno udeležbo Moja kariera - quo vadis, Ljubljana, 27. 3. 2013. Jesenice: Visoka šola za zdravstveno nego, pp. 48-56.

Horrocks, S., Anderson, E. & Salisbury, C., 2002. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. British medical journal, 324(7341): pp. 819-823. http://dx.doi.org/10.1136/bmj.324.7341.819 PMid:11934775; PMCid:PMC100791

International Council of Nurses, 2005. Regulation terminology: version 1. Geneve: International Council of Nurses. Avalible at: http://www.area-c54.it/public/regulation%20terminology.pdf 26. 1. 2015.

International Council of Nureses., 2009. ICN framework of competencies for the nurse specialist. Geneva: International Council of Nurses.

Kadivec, S., Bregar, B., Buček Hajdarević, I., Črnivec, J., Horvat, M., Klemenc, D., et al., 2011. Strategija razvoja zdravstvene nege in oskrbe v sistemu zdravstvenega varstva v Republiki Sloveniji za obdobje od 2011 do 2020. Available at: http://www.zbornica-zveza.si/sites/default/files/doc_attachments/strategija_razvoja_zn_2011-2020_okt_2011.pdf [25. 1. 2015].

Lokar, K., 2013. Specializacije v zdravstveni negi: primer onkološke zdravstvene nege. In: Skela Savič, B. & Hvalič Touzery, S., eds. Zahtevnejše oblike dela v zdravstveni negi: mednarodni pristopi in stanje v Sloveniji? 6. posvet z mednarodno udeležbo Moja kariera - quo vadis, Ljubljana, 27. 3. 2013. Jesenice: Visoka šola za zdravstveno nego, pp. 57-62.

Pask, E.G., 2011. What we said back then: frankly speaking: specialization in nursing. Canadian Nurse, 107(7), pp. 32-33.

Pajnkihar, M. & Jakl, D., 2013. Razvoj in aplikacija specialnega znanja medicinskih sester. In: Skela Savič, B. & Hvalič Touzery, S., eds. Zahtevnejše oblike dela v zdravstveni negi: mednarodni pristopi in stanje v Sloveniji? 6. posvet z mednarodno udeležbo Moja kariera - quo vadis, Ljubljana, 27. 3. 2013. Jesenice: Visoka šola za zdravstveno nego, pp. 96-101.

Poplas Sušič, A. & Marušič, D., 2011. Referenčne ambulante. Bilten: ekonomika, organizacija in informatika v zdravstvu, 27(1), pp. 9-17. Available at: http://temena.famnit.upr.si/files/files/Poplas.pdf (4. 6. 2013).

Požun, P. & Skela Savič, B., 2011. Mednarodne usmeritve, priporočila in predpisi na področju podiplomskega izobraževanja v zdravstveni negi–OECD, EU direktiva za regulirane poklice, WHO, EFN in INC. In: Skela Savič, B., Hvalič Touzery, S., Zurc, J. & Skinder Savić, K., eds. Moja kariera - quo vadis - my career. 4. posvet z mednarodno udeležbo. Specializacije v zdravstveni negi - partnerstvo med zdravstveno nego in medicino, Ljubljana, 8. marec 2011. Jesenice: Visoka šola za zdravstveno nego, pp. 34-44.

Pulcini, J., Jelic, M., Gul, R. & Loke, A.Y., 2010. An international survey on advanced practice nursing education, practice, and regulation. Journal of Nursing Scholarship, 42(1), pp. 31-39. http://dx.doi.org/10.1111/j.1547-5069.2009.01322.x PMid:20487184

Rod, P., 2009. Klinične specializacije. In: Majcen Dvoršak, S., Kvas, A., Kaučič, B.M., Železnik, D., Klemenc, D., eds. Medicinske sestre in babice - znanje je naša moč 7. kongres zdravstvene in babiške nege Slovenije, Ljubljana, 11.–13. maj 2009. [CD-ROM]. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, 211C.

Shen, J. & Xiao, L.D., 2012. Factors affecting nursing students' intention to work with older people in China. Nurse education today, 32(3), pp. 219-223. http://dx.doi.org/10.1016/j.nedt.2011.03.016 PMid:21543142

Skela-Savič, B. & Klemenc, D., 2011. Opredelitev izobraževanja v Strategiji razvoja zdravstvene nege in oskrbe v sistemu zdravstvenega varstva v Republiki Sloveniji za obdobje od 2011 do 2020. In: Skela Savič, B., Hvalič Touzery, S., Zurc, J. & Skinder Savić, K., eds. Moja kariera - quo vadis - my career. 4. posvet z mednarodno udeležbo. Specializacije v zdravstveni negi - partnerstvo med zdravstveno nego in medicino, Ljubljana, 8. marec 2011. Jesenice: Visoka šola za zdravstveno nego, pp. 20-33.

Skela-Savič, B., 2013. Definicija zahtevnejših oblik dela v zdravstveni negi. In: Skela Savič, B. & Hvalič Touzery, S., eds. Zahtevnejše oblike dela v zdravstveni negi: mednarodni pristopi in stanje v Sloveniji? 6. posvet z mednarodno udeležbo Moja kariera - quo vadis, Ljubljana, 27. 3. 2013.. Jesenice: Visoka šola za zdravstveno nego, pp. 14-21.

Starc, M., 2004. Vpliv staranja prebivalstva na porabo zdravil: diplomsko delo. Ljubljana: Univerza v Ljubljani, Ekonomska Fakulteta, pp. 4, 8. Available at: http://www.cek.ef.uni-lj.si/u_diplome/starc1337.pdf 20. 2. 2013.

Starc, A., Kos Grabnar, E. & Požun, P., 2009. Predstavitev podlag za specializacije v zdravstveni negi v Sloveniji. In: Majcen Dvoršak, S., Kvas, A., Kaučič, B.M., Železnik, D., Klemenc, D., eds. Medicinske sestre in babice - znanje je naša moč 7. kongres zdravstvene in babiške nege Slovenije, Ljubljana, 11.–13. maj 2009. [CD-ROM]. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, 211C.

Vilar, V., 2011. Klinične specializacije v zdravstveni in babiški negi. Utrip, 19(5), p. 4.

Vilar, V. & Ažman, M., 2011. Nekatera izhodišča za razvoj specializacij: program, pooblaščeni izvajalci, razpis, mentorstvo, zagotavljanje kakovosti izvedbe, potrebe po specializacijah, izvedba … In: Skela Savič, B., Hvalič Touzery, S., Zurc, J. & Skinder Savić, K., eds. Moja kariera - quo vadis - my career. 4. posvet z mednarodno udeležbo. Specializacije v zdravstveni negi - partnerstvo med zdravstveno nego in medicino, Ljubljana, 8. marec 2011. Jesenice: Visoka šola za zdravstveno nego, pp. 54–63.

Downloads

Published

2015-03-20

How to Cite

Sever, M., & Bregar, B. (2015). Specializations in nursing: the students’ perspective. Slovenian Nursing Review, 49(1). https://doi.org/10.14528/snr.2015.49.1.49

Issue

Section

Original scientific article

Similar Articles

You may also start an advanced similarity search for this article.