Late dropout from nursing education: An interview study of nursing students' experiences and reasons.


Journal

Nurse education in practice
ISSN: 1873-5223
Titre abrégé: Nurse Educ Pract
Pays: Scotland
ID NLM: 101090848

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 17 10 2018
revised: 18 06 2019
accepted: 14 07 2019
pubmed: 29 7 2019
medline: 20 2 2020
entrez: 29 7 2019
Statut: ppublish

Résumé

The global shortages of nurses require a closer look at why nursing students stop in the later years of their degree programme. The purpose of this study is to explore nursing students' experiences and reasons that lead to this late dropout. Semi-structured interviews were held in 2017 with eleven former nursing students who dropped out in the third year of their Bachelor's Nursing degree programme in the Netherlands. Data was collected and analysed iteratively, following the principles of Thematic Analysis. Two core themes were identified: 'ending up in a downward spiral of physical, psychological and social problems' and 'experiencing an increasing mismatch between expectations and reality'. Reasons for late dropout from nursing education are diverse and interlinked. In contrast with studies on early dropout, academic difficulties did not play a major role in late dropout. Negative experiences during clinical placements led to dropout in both groups. One group lacked a safe learning environment in clinical placements, study coaching and psychological support. The other group missed realistic information provision about nursing education and the broad range of career opportunities in nursing.

Identifiants

pubmed: 31352089
pii: S1471-5953(18)30914-4
doi: 10.1016/j.nepr.2019.07.005
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

17-25

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2019. Published by Elsevier Ltd.

Auteurs

Ellen J M Bakker (EJM)

Rotterdam University of Applied Sciences, Research Centre Innovations in Care, P.O. Box 25035, 3001, HA Rotterdam, the Netherlands; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Van der Boechorststraat 7, 1081, BT Amsterdam, the Netherlands. Electronic address: e.j.m.bakker@hr.nl.

Kim J Verhaegh (KJ)

Amsterdam UMC, AMC, Department of Internal Medicine, Section of Geriatric Medicine, P.O. Box 22660, 1100, DD Amsterdam, the Netherlands. Electronic address: k.j.verhaegh@amsterdamumc.nl.

Jos H A M Kox (JHAM)

Rotterdam University of Applied Sciences, Research Centre Innovations in Care, P.O. Box 25035, 3001, HA Rotterdam, the Netherlands; Erasmus University Medical Centre, Department of General Practice, P.O. Box 2040, 3000, CA Rotterdam, the Netherlands. Electronic address: j.h.a.m.kox@hr.nl.

Allard J van der Beek (AJ)

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Van der Boechorststraat 7, 1081, BT Amsterdam, the Netherlands. Electronic address: a.vanderbeek@vumc.nl.

Cécile R L Boot (CRL)

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Van der Boechorststraat 7, 1081, BT Amsterdam, the Netherlands. Electronic address: CRL.Boot@vumc.nl.

Pepijn D D M Roelofs (PDDM)

Rotterdam University of Applied Sciences, Research Centre Innovations in Care, P.O. Box 25035, 3001, HA Rotterdam, the Netherlands; Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. Electronic address: p.roelofs@umcg.nl.

Anneke L Francke (AL)

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Van der Boechorststraat 7, 1081, BT Amsterdam, the Netherlands; NIVEL Netherlands Institute for Health Services Research, P.O. Box 1568, 3500, BN Utrecht, the Netherlands. Electronic address: A.Francke@nivel.nl.

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