Causes of ATtrition in CHIldren's NursinG (CATCHING): An exploratory mixed method study.

Journal article


McKeever, S, Whiting, L, Anderson, D and Twycross, AM (2018). Causes of ATtrition in CHIldren's NursinG (CATCHING): An exploratory mixed method study. Nurse Education in Practice. 32, pp. 44-51.
AuthorsMcKeever, S, Whiting, L, Anderson, D and Twycross, AM
Abstract

Professional, financial and ethical reasons necessitate nursing improves its understanding of student attrition. Previous studies identify causes of attrition as multifactorial. However, few studies focus on children's nursing. This study aimed to explore causes of pre-registration children's nursing attrition. Exploring the causes of attrition was achieved through quantitative and qualitative approaches. Three years of quantitative data relating to attrition rates and causes was obtained. These data informed semi-structured interviews of children's nursing students, from four London universities. These students had faced challenges and either 'left' (n = 5) or 'stayed on' (n = 13) their pre-registration programme. Most attrition occurred in the first year of programmes and was primarily due to academic failure or personal circumstances; clinical placements also played a role. Emergent themes were 'expectations of pre-registration children's nursing'; 'realities of a pre-registration children's nursing course', and 'factors that influence students leaving or staying on the course'. Many participants reported a reluctance to disclose issues while on their course. Support to continue on the programme was frequently obtained away from university and students described relying on self-determination to complete programmes. Findings indicated several areas of potential improvement for student support including targeted interventions focusing on a student's first year and reducing variation in support services provided.

KeywordsAttrition; Children's nursing; Pre-registration nurse education; 1110 Nursing; 1302 Curriculum And Pedagogy; Nursing
Year2018
JournalNurse Education in Practice
Journal citation32, pp. 44-51
PublisherElsevier
ISSN1873-5223
Digital Object Identifier (DOI)doi:10.1016/j.nepr.2018.06.012
Publication dates
Print25 Jun 2018
Publication process dates
Deposited31 Jul 2018
Accepted24 Jun 2018
Accepted author manuscript
License
CC BY-NC-ND 4.0
Permalink -

https://openresearch.lsbu.ac.uk/item/86q78

  • 1
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Related outputs

Reducing pain in children with cancer: Methodology for the development of a clinical practice guideline
Loeffen, EAH, Kremer, LCM, van de Wetering, MD, Mulder, RL, Font-Gonzalez, A, Dupuis, LL, Campbell, F, Tissing, WJE, Anghelescu, DL, Birnie, K, de Bont, J, Bredlau, AL, Cullen, P, Daniels, S, Dick, B, van Dijk, M, Dingeman, RS, Evan, E, Gegg, J, Gibson, F, van Grotel, M, Jibb, L, Kao, R, Knops, R, Kulkarni, K, Leroy, P, Liossi, C, Ljungman, G, McLean, J, Mensink, M, Michiels, E, Muckaden, MA, Newman, B, Positano, K, Rijsdijk, M, Rowe, E, Sangha, G, Stinson, J, Taddio, A, Taylor, H, Tutelman, P, Twycross, A, Wijnen, M and Zeltzer, L (2019). Reducing pain in children with cancer: Methodology for the development of a clinical practice guideline. Pediatric Blood and Cancer. 66 (6), p. e27698.
Evaluating a project to support the development of placements capacity in child community and primary care placement
Twycross, A and Adegbie, J (2019). Evaluating a project to support the development of placements capacity in child community and primary care placement. Nursing Times.
Children’s views on postsurgical pain in recovery units in Norway: A qualitative study
Twycross, AM, Smeland, A, Torgun, N, Nybro, L, Rustøen, T, Lundberg, S and Reinertsen, H (2019). Children’s views on postsurgical pain in recovery units in Norway: A qualitative study. Journal of Clinical Nursing.
Creating a journal club competition improves paediatric nurses' participation and engagement
McKeever, S, Kinney, S, Lima, S and Newall, F (2016). Creating a journal club competition improves paediatric nurses' participation and engagement. Nurse Education Today. 37, pp. 173 - 177.
Undertaking research with children and young people
Twycross, AM and Smith, J (2017). Undertaking research with children and young people. Evidence-Based Nursing. 20 (2), pp. 40-41.
Nurses' Knowledge, Attitudes and Clinical Practice in Pediatric Postoperative Pain Management.
Smeland, AH, Twycross, AM, Lundeberg, S and Rustøen, T (2018). Nurses' Knowledge, Attitudes and Clinical Practice in Pediatric Postoperative Pain Management. Pain Management Nursing.
Time to take a stand on nurses’ working conditions?
Twycross, AM (2018). Time to take a stand on nurses’ working conditions? Evidence-Based Nursing.
Data collection in qualitative research
Barrett, D and Twycross, AM (2018). Data collection in qualitative research. Evidence-Based Nursing. 21 (3), pp. 63-64.
Rethinking pain education
Swift, A and Twycross, AM (2018). Rethinking pain education. Evidence-Based Nursing. 21 (2), pp. 34-35.
Enough is enough: time for change in pain education?
Swift, A and Twycross, AM (2018). Enough is enough: time for change in pain education? Evidence-Based Nursing. 21 (2), pp. 31-32.
For the times they are a-changing.
Twycross, AM (2017). For the times they are a-changing. Evidence-Based Nursing. 21 (1), p. 1.
What is a case study?
Heale, R and Twycross, AM (2017). What is a case study? Evidence-Based Nursing. 21 (1), pp. 7-8.
Mothers’ Experiences of Managing their Child’s Pain Before and During Attendance at the Emergency Department
Twycross, AM and Edmonds, J (2018). Mothers’ Experiences of Managing their Child’s Pain Before and During Attendance at the Emergency Department. Journal of Clinical Nursing. 27 (9-10), pp. 2003-2013.
Have you seen the Evidence-Based Nursing blog? Evidence-Based Nursing blogs: highlighting contemporary issues in nursing.
Twycross, AM and Smith, J (2016). Have you seen the Evidence-Based Nursing blog? Evidence-Based Nursing blogs: highlighting contemporary issues in nursing. Evidence-Based Nursing. 20 (1), pp. 29-32.
Nurse titrated analgesia and sedation in intensive care increases the frequency of comfort assessment and reduces midazolam use in paediatric patients following cardiac surgery.
Larson, GE and McKeever, S (2017). Nurse titrated analgesia and sedation in intensive care increases the frequency of comfort assessment and reduces midazolam use in paediatric patients following cardiac surgery. Australian Critical Care.
Do not disturb! The impact of wearing red aprons on medication administration in PICU
Hewitt, CA, McKeever, S and Giles, S (2017). Do not disturb! The impact of wearing red aprons on medication administration in PICU. The 31st Paediatric Intensive Care Annual Scientific Meeting. Nottingham, UK 11 - 13 Oct 2017 London South Bank University.
An integrative review of interventions to support parents when managing their child’s pain at home
Twycross, AM, Parker, R, McKeever, S and Wiseman, T (2017). An integrative review of interventions to support parents when managing their child’s pain at home. Pain Management Nursing.
Nursing and midwifery council registration for overseas children's nurses: a perfect storm?
Biggart, E and Twycross, AM (2017). Nursing and midwifery council registration for overseas children's nurses: a perfect storm? Evidence-Based Nursing. 20 (4), p. 97.
Guidelines, strategies and tools for pain assessment in children
Twycross, AM (2017). Guidelines, strategies and tools for pain assessment in children. Nursing Times. 113 (5), pp. 18-21.
Changes to student nurse financing in the UK: A good or a bad thing?
Twycross, AM (2015). Changes to student nurse financing in the UK: A good or a bad thing? Evidence-Based Nursing. 19 (1).
Optimising palliative and end-of-life care within care home settings.
Mitchell, G and Twycross, AM (2015). Optimising palliative and end-of-life care within care home settings. Evidence-Based Nursing. 19 (4).
Perspectives on current child health issues
Twycross, AM and Smith, J (2016). Perspectives on current child health issues. Evidence-Based Nursing. 19 (4), pp. 107-109.
An observational study exploring amplitude-integrated electroencephalogram and spectral edge frequency during paediatric anaesthesia.
McKeever, S, Johnston, L and Davidson, AJ (2012). An observational study exploring amplitude-integrated electroencephalogram and spectral edge frequency during paediatric anaesthesia. Anaesthesia and Intensive Care. 40 (2), pp. 275 - 284.
A review of the utility of EEG depth of anaesthesia monitors in the paediatric intensive care environment.
McKeever, S, Johnston, L and Davidson, A (2012). A review of the utility of EEG depth of anaesthesia monitors in the paediatric intensive care environment. Intensive and Critical Care Nursing. 28 (5), pp. 294 - 303.
Sevoflurane-induced changes in infants' quantifiable electroencephalogram parameters.
McKeever, S, Johnston, L and Davidson, AJ (2014). Sevoflurane-induced changes in infants' quantifiable electroencephalogram parameters. Paediatric Anaesthesia. 24 (7), pp. 766 - 773.
Brexit: An uncertain journey
McKeever, S (2016). Brexit: An uncertain journey. Evidence-Based Nursing. 19 (4), pp. 97 - 98.
Parents’ experiences of managing their child’s postoperative pain at home: an exploratory qualitative study
Twycross, AM, Longard, J, Williams, A, Hong, P and Chorney, J (2016). Parents’ experiences of managing their child’s postoperative pain at home: an exploratory qualitative study. Journal of Clinical Nursing. 25 (17-18), pp. 2619-2628.
Causes of ATtrition in CHIldren’s NursinG (CATCHING) study
McKeever, S, Twycross, AM, Whiting, L, Anderson, D and Anderson, D (2016). Causes of ATtrition in CHIldren’s NursinG (CATCHING) study. Health Education England North Central and East London local office.
The expert patient
O'Neill, N, Mitchell, G and Twycross, AM (2016). The expert patient. Evidence-Based Nursing. 19 (2), pp. 41 - 42.
Pain as the neglected patient safety concern: Five years on.
Twycross, AM, Forgeron, P, Chorne, J, Blackman, C and Finley, GA (2016). Pain as the neglected patient safety concern: Five years on. Journal of Child Health Care.
Using observational research to obtain a picture of nursing practice
Twycross, AM and Shorten, A (2016). Using observational research to obtain a picture of nursing practice. Evidence-Based Nursing.