Document Type : Original Article

Authors

Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

INTRODUCTION: Despite the progress of health care and the application of new technology in the
care of patients, the need to train highly skilled and specialized nurses is inevitable. Given that a
master’s degree in neonatal intensive care nursing has been recently established in Iran, the aim of
the study was to explain the educational challenges of neonatal intensive care postgraduate nursing
students in their perspective.
MATERIALS AND METHODS: This conventional content analysis was performed by conducting
semi-structured interviews with 18 students of neonatal intensive care in X University of Medical
Sciences from 2018 to 2019. Data were analyzed using conventional content analysis. To establish
the reliability and validity of findings, Graneheim and Landman criteria were considered.
RESULTS: Following the data analysis, two main categories were extracted: “theoretical education
challenges” and “clinical education challenges.” The first main category was comprised of the following
subcategories: “detachment of nursing department and hospital,” “defects in weekly scheduling,”
“combination of care and treatment approaches in education,” “inconsistency between the content
of theoretical courses,” “limited collaboration between basic science and medical departments,” “low
number of lecturers,” “lecturers’ unrealistic expectations,” and “the importance of the scoring system.”
“Extended work shifts,” “a large number of students,” “lack of opportunity to do clinical practices,”
“lack of training classes,” and “limited amenities in the hospital” were recognized as subcategories
of the second category.
CONCLUSION: Managers can address some of the students’ challenges and provide the opportunity
to enhance the quality of education through being familiar with, considering and meetings the needs
and expectations of these students.

Keywords

1. Regan S, Laschinger HK, Wong CA. The influence of empowerment,
authentic leadership, and professional practice environments on
nurses’ perceived interprofessional collaboration. J Nurs Manag
2016;24:E54-61.
2. Kent A, Gabay C, Geenen R, Gouni-Berthold I, van den Hoogen F,
Klareskog L, et al. AB1368-HPR enhanced role of nurses and other
healthcare professionals (HCPS) in the care of rheumatoid arthritis
and associated comorbidities. Annals of the Rheumatic Diseases:
BMJ Publishing Group Ltd; 2019;78:2147-2148.
3. O’Lynn C. Rethinking indicators of academic quality in nursing
programs. J Nurs Educ 2017;56:195-6.
4. Lippe M, Carter P. Using the CIPP model to assess nursing
education program quality and merit. Teach Learn Nurs
2018;13:9-13.
5. Evans-Agnew R, Reyes D, Primomo J, Meyer K, MatlockHightower C. Community health needs assessments: Expanding
the boundaries of nursing education in population health. Public
Health Nurs 2017;34:69-77.
6. Masters K. Role Development in Professional Nursing Practice.
Jones & Bartlett Learning; 2018, Nov 2.
7. Repsha CL, Quinn BL, Peters AB. Implementing a concept-based
nursing curriculum: A review of the literature. Teach Learn Nurs
2020;15:66-71.
8. Staples E, Sangster-Gormley E. Supporting nurse practitioner
education: Preceptorship recruitment and retention. Int J Nurs
Sci 2018;5:115-20.
9. Sajadi SA, Rajai N, Mokhtari Nouri J. Comparison of the Curricula
of Master of Science in Nursing (MScN) Programs in Iran and
Japan: A descriptive comparative study. Strides Dev Med Educ
2017;14:2.
10. Mitrea N, Mosoiu D, Ancuta C, Malloy P, Rogozea L. The
impact of the End-of-Life Nursing Education Consortium
International Training Program on the clinical practice of Eastern
European nurses working in specialized palliative care services:
A Romanian case study. J Hosp Palliat Nurs 2017;19:424-34.
11. Yang J, Shen L, Jin X, Hou L, Shang S, Zhang Y. Evaluating
the quality of simulation teaching in Fundamental Nursing
Curriculum: AHP-Fuzzy comprehensive evaluation. Nurse Educ
Today 2019;77:77-82.
12. Jones R, Kelsey J, Nelmes P, Chinn N, Chinn T, Proctor-Childs T.
Introducing Twitter as an assessed component of the undergraduate
nursing curriculum: Case study. J Adv Nurs 2016;72:1638-53.
13. Spence D, Zambas S, Mannix J, Jackson D, Neville S. Challenges
to the provision of clinical education in nursing. Contemp Nurse
2019;55:458-67.
14. Brown JM, Schmidt NA. Service-Learning in Undergraduate
Nursing Education: Where is the Reflection? J Prof Nurs
2016;32:48-53.
15. Murphy SL, Xu J, Kochanek KD, Arias E. Mortality in the United
States, NCHS Data Brief, no 328. Hyattsville, MD: National Center
for Health Statistics. 2018.
16. Holsti L, MacLean K, Oberlander T, Synnes A, Brant R. Calmer:
A robot for managing acute pain effectively in preterm infants
in the neonatal intensive care unit. Pain Rep 2019;4:e727.
17. Ameyaw J, Turnhout E, Arts B, Wals A. Creating a responsive
curriculum for postgraduates: Lessons from a case in Ghana.
J Further Higher Educ 2019;43:573-88.
18. L’Ecuyer KM. Clinical education of nursing students with learning
difficulties: An integrative review (part 1). Nurse Educ Pract
2019;34:173-84.
19. Arrigoni C, Grugnetti AM, Caruso R, Gallotti ML, Borrelli P,
Puci M. Nursing students’ clinical competencies: A survey on
clinical education objectives. Ann Ig 2017;29:179-88.
20. Nikfarid L, Ashktorab T. Understanding of neonatal intensive
care nurse practitioner students of situation of their profession
in Iran: A qualitative study. Nurs Res 2013;29:65-9.
21. Hennink M, Hutter I, Bailey A. Qualitative Research Methods.
SAGE Publications Limited; 2020.Jan 25.
22. Johnson RB, Christensen L. Educational Research: Quantitative,
Qualitative, and Mixed Approaches. SAGE Publications,
Incorporated; 2019.Sep 24.
23. Vaismoradi M, Snelgrove S. Theme in qualitative content analysis
and thematic analysis. InForum Qualitative Sozialforschung/
Forum: Qualitative Social Research 2019 Sep 26 (Vol. 20, No. 3).
24. Bradshaw MJ, Hultquist BL. Innovative Teaching Strategies
in Nursing and Related Health Professions. Jones & Bartlett
Learning; 2016. Jul 29.
25. Mikkonen K, Elo S, Kuivila HM, Tuomikoski AM,
Kääriäinen M. Culturally and linguistically diverse healthcare
students’ experiences of learning in a clinical environment:
A systematic review of qualitative studies. Int J Nurs Stud
2016;54:173-87.
26. Thomas LJ, Asselin M. Promoting resilience among nursing
students in clinical education. Nurse Educ Pract 2018;28:231-4.
27. Nejad FM, Asadizaker M, Baraz S, Malehi AS. Investigation
of nursing student satisfaction with the first clinical education experience in universities of medical sciences in Iran. J Med Life
2019;12:75-82.
28. Jamshidi N, Molazem Z, Sharif F, Torabizadeh C,
Najafi Kalyani M. The challenges of nursing students in the clinical
learning environment: A qualitative study. ScientificWorldJournal
2016;2016:1846178.
29. MacLean S, Kelly M, Geddes F, Della P. Use of simulated patients
to develop communication skills in nursing education: An
integrative review. Nurse Educ Today 2017;48:90-8.
30. Esmaelzadeh F, Abbaszadeh A, Borhani F, Peyrovi H.
Characteristics of an ethical leader: A qualitative content analysis
of Iranian nurses’ experiences. Ann Trop Med Public Health
2017;10:684.
31. Aghebati N, Mohammadi E, Ahmadi F. The experiences of
the lectures and nursing students in the implementation of
the curriculum for master students in critical care nursing:
A qualitative research. J Nurs Educ 2015;4:48-60.
32. Heydari MS, Sheykhi R, Heydari K. Problems of clinical education
of nursing students in clinical settings. Health Care 2012;13:18-23.
33. Mohsenpour M, Hosseini M, Abbaszadeh A, Shahboulaghi FM,
Khankeh H. Iranian paediatric nurses experience of nursing error:
A content analysis. HK J Paediatr (New Ser) 2017;22:97-102.
34. Melincavage SM. Student nurses’ experiences of anxiety in the
clinical setting. Nurse Educ Today 2011;31:785-9.
35. Mehdipour Rabori R, Dehghan M, Nematollahi M. Nursing
students’ ethical challenges in the clinical settings: A mixedmethods study. Nurs Ethics 2019;26:1983-91.
36. Msiska G, Smith P, Fawcett T. Exposing emotional labour
experienced by nursing students during their clinical learning
experience: AMalawian perspective. Int J Afr Nurs Sci 2014;1:43-50.