Perceptions of nursing graduates about the quality of their undergraduate nursing education and ...

115 Pages·2012·1.44 MB·English

Perceptions of nursing graduates about the quality of their
undergraduate nursing education and training in
Thiruvananthapuram district, Kerala.

NEETHU.T

Dissertation submitted in partial fulfillment of the
Requirement for the award of
Master of Public Health

ACHUTHA MENON CENTRE FOR HEALTH SCIENCE STUDIES
SREE CHITRA TIRUNAL INSTITUTE FOR MEDICAL SCIENCES AND
TECHNOLOGY, TRIVANDRUM
Thiruvananthapuram, Kerala. India – 695011

OCTOBER 2016
DEDICATED TO MY GRANDMOTHER

SREEMATHI AMMA.
ACKNOWLEDGEMENTS

First and foremost, I would like to thank god Almighty for his blessings to complete my
research work.
I would like to express my sincere gratitude to my guide, Dr Srinivasan. K, Additional
professor, Achutha Menon Centre for Health Science Studies (AMCHSS) for his
guidance throughout my research work.
I extend my sincere thanks to Dr. P. Sankara Sharma and Mrs. Jissa. V. T for clearing my
doubts whenever I was in need.
I thank all the faculty members of the AMCHSS, Dr. KR Thankappan, Dr. V Raman
Kutty, Dr. TK Sundari Ravindran, Dr. Mala Ramanathan, Dr. Biju Soman, Dr. Ravi
Prasad Varma and Dr.Manju.C for providing their valuable suggestions throughout my
study.
I do not have words to express my sincere gratitude and indebtedness to Dr.Malu Mohan,
PhD student for her encouragement and support since beginning of the study.
I would like to express my thanks to Prof. Prasanna. Y, Joint Director of Nursing
Education (JDNE) for her supporting my study.
I would like to express my thanks to Dr. Neethu Suresh, Sapna Mishra and all other PhD
students and my friends who helped me in completing the study.
I am grateful to my family for their support to complete my dissertation.
A special word of thanks to my sister Adhithya.T and brother Renjith.S for helping me
throughout the study.
I would like to express my thanks to all the respondents who participated in the study.
CERTIFICATE

Certified that the dissertation entitled, “Perceptions of nursing graduates about
the quality of their undergraduate nursing education and training in
Thiruvananthapuram district, Kerala” is a bonafide record of original research work
undertaken by Ms. Neethu.T, in partial fulfillment of the requirements for the award of
the degree of “Master of Public Health” under my guidance and supervision.

Dr. SRINIVASAN. K
Additional Professor
Achutha Menon Centre for Health Science Studies
Sree Chitra Tirunal Institute for Medical Sciences and Technology
Trivandrum
Thiruvananthapuram, Kerala
October, 2016
DECLARATION

I declare that this dissertation work titled “Perceptions of nursing graduates
about the quality of their undergraduate nursing education and training in
Thiruvananthapuram district, Kerala” is the result of my original field research. It has
not been submitted to any other university or institution for the award of any degree or
diploma. Information derived from the published or unpublished work of others has been
duly acknowledged and referenced in the study.

MS. NEETHU. T
Achutha Menon Centre for Health Science Studies
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum
Thiruvananthapuram, Kerala. India -695011
October, 2016
Table of contents
Contents Page
number
List of tables

List of Figures

Glossary of Abbreviation

Glossary of concepts used in the study
Abstract

Chapter 1: Introduction and Literature review……….…..
1-19
1.1Background…………………………………………………………. 1-4
1.2 Literature review…………………………………………………… 4-18
1.2.1 Motivation for choosing nursing………………………………..... 5
1.2.2 Perceptions about quality of nursing education and training…….. 5-11
1.2.2.1 Educational environment………………………………………. 6
1.2.2.2 Instructors……………………………………………………… 6
1.2.2.3 Methodology of education………………………….…………. 6-7
1.2.2.4 Clinical education……………………………………………… 7-11
1.2.3 Views and perceptions towards nursing profession……………… 11-15
1.2.3.1 Recognition and value………………………………………….. 12-13
1.2.3.2 Shortage of staff…………………………………………...…… 13-14
1.2.3.3 Economic security……………………………………………… 14
1.2.3.4 Experience and educational level…………………….………… 14-15
1.2.3.5 Clinical environment………………………………………….... 15
1.2.4 Future intentions…………………………………………………. 16-18
1.2.4.1 Bed side nursing………………………………………………... 16-17
1.2.4.2 Teaching………………………………………………………... 17
1.2.4.3 Migration……………………………………………………….. 17
1.2.4.4 Higher education in nursing……………………………...…….. 18
1.2.4.5 Change of profession……………………………………...…… 18
1.3 Rationale of the study…………………………………………….. 18-19
1.4 Objectives………………………………………………………….. 19
1.4.1 Major objective………………………………………………...… 19
1.4.2 Minor objectives…………………………………………………. 19
Chapter 2: Methodology………………………………………… 20-28

2.1 Study design…………………………………………………..…… 20
2.2 Study setting………………………………………………………... 20
2.3 Study population…………………………………………………… 20
2.4 Sample size estimation……………………………………………... 21
2.5 Sample selection procedures……………………………………….. 21-22
2.6 Selection criteria…………………………………………………… 22
2.7 Study variables and related definitions…………………………….. 22-25
2.7.1 Outcome variables………………………………………………... 22-24
2.7.2 Predictor variables………………………………………………... 24-25
2.8 Data collection techniques and tools………………….…………… 25
2.9 Data collection procedures…………………………………………. 26
2.10 Ethical considerations…………………………………………….. 26-27
2.10.1 Clearance………………………………………………………... 26
2.10.2 Confidentiality………………………………………………….. 26-27
2.10.3 Consent………………………………………………………….. 27
2.10.4 Beneficence……………………………………………………... 27
2.10.5 Risks…………………………………………………………….. 27
2.11 Data analysis……………………………………………………… 27-28
2.12 Dissemination of results…………………………………………... 28

Chapter 3: Results………………………………………….
29-63
3.1 Basis characteristics of respondents…………………………….… 30-32
3.1.1 Type of the institution where nursing education was pursued….. 30
3.1.2 Socio-demographic characteristics……………………………… 30
3.1.3 Source of financing nursing education……………………..…… 32
3.2 Motivational factors for pursuing nursing education………..……. 32
3.3 Perceptions regarding quality of undergraduate nursing
education and training……………………………………….………… 33-42
3.3.1 Perceived characteristics of instructors………………………….. 33-35
3.3.2 Perceived characteristics of the infrastructure ………………...… 36-37
3.3.3 Perceived characteristics on clinical education……………...…… 38-41
3.3.4 Perceived characteristics of the overall nursing education programme…..4 1-42
3.4 Views on nursing profession………………………………………. 43
3.4.1 Professional identity……………………………………………… 43
3.4.2 Self-image………………………………………………………... 43
3.4.3 Social position……………………………………………………. 43
3.5 Future career choices………………………………………………. 44
3.6 Association between the type of the institution from where they
graduated and the rating of teaching abilities of the instructors……….. 45
3.7 Association between the type of the institution where they have

graduated and the rating of infrastructure of the institution……….…… 46
3.8 Association between the type of the institution from where they
graduated and the rating of clinical exposure they had during their
under graduation………………………………………………..……… 47
3.9 Association between the type of the institution where they have

graduated and the rating of the clinical training they have received…… 47

3.10 Association between the characteristics of the respondents,

individual domains on perceived quality of nursing education and the

rating of the overall nursing education………………………………… 48-49
3.11 Association between characteristics of the nursing graduates and
views on nursing profession……………………………………………. 51-61
3.11.1 Opportunity to serve humanity…………………………………. 51
3.11.2 Association between characteristics of the respondents and view
on nursing profession as a source of economic security……………….. 51-52
3.11.3 Association between characteristics of the respondents and view
on nursing profession as comparable with other professions………….. 54
3.11.4 Association between characteristics of the respondents and view
on nursing profession as a dignified and respectful profession………... 56-57
3.11.5 Association between characteristics of the respondents and view
on nursing profession as a way to get recognition in society…………... 59
3.11.6 Association between characteristics of the respondents and view
on nursing profession as an opportunity for better marriage offers……. 61
3.12 Association between characteristics of the respondents, rating of
the overall nursing education and plan to change the profession……… 63
Chapter 4: Discussion and conclusion……………………..… 65-76

4.1 Discussion………………………………………………………….. 65-74
4.2 Strengths and limitations of the study……………………………… 74
4.3 Conclusions and recommendations………………………………… 75-76

References

Annexure 1: Institutional Ethics CommitteeClearance letter

Annexure 2: Subject Information Sheet

Annexure 3: Informed consent form in English
Annexure 4: Self-administered questionnaire in English