Exploring the reasons for theory‑practice gap in emergency nursing education: A qualitative research
نویسندگان
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2 Department of Critical Care Nursing, Nursing and Midwifery Care Research Centre, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences
3 Department of Critical Care Nursing, Nursing and Midwifery Care Research Centre, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences
4 Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
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چکیده
BACKGROUND: Nursing is a scientific profession, based on theory and art of care. However, thetheory‑practice gap has become the biggest challenge of this profession and decreases the qualityof service both in teaching and practice. Thus, it seems necessary to search for these reasons insituations such as emergency department – which has an effective role in patients’ health.OBJECTIVES: The objectives of this study were to find the perceived reasons for the theory‑practicegap in the process of emergency nursing education from the perspective of professors, nurses, andstudents, as well as doctors, since they cooperate with nurses and students in the training environment.METHODS: A qualitative study was carried out; this included 18 deep, semi‑structured interviews in7 months with the people involved in the process of emergency department apprenticeship alongsidewith observing the activities of stakeholders. The data analysis was done in accordance with contentanalysis method including three steps of preparation, organization, and reporting.RESULTS: The perceived reasons for theory‑practice gap were classified into 13 secondarycategories. At the end of data analysis, five main categories of student, instructor, environment,culture, and the organizational process, and finally, two themes of “input” and “process” emerged.CONCLUSIONS: Nursing students in emergency department face a number of challenges inimplementing theory into practice which stems from the faculty as an academic environment andthe hospital as an educational environment. These underpinning reasons for the theory‑practicegap influence the quality of nursing education and care delivery in emergency department. Hence,decreasing the theory‑practice gap lies in the amendment of any of these factors.