Curriculum design and attrition among undergraduate nursing students: A systematic review.

Abstract:

:Attrition rates among nursing students are a global issue, and a possible factor in current nursing shortages. Numerous studies have been conducted to determine why students drop out of nursing programmes. The limitations of previous studies have included overly small sample sizes, being largely descriptive, and not focusing on attrition as an outcome. The aim of this study is to review the issue of attrition among undergraduate nursing students in relation to curriculum design. Five electronic databases, namely CINAHL, Medline, Cochrane Library, British Nursing Index, and PsycINFO, were adopted. Using the Population-Intervention-Comparison-Outcome model, search terms were identified, such as 'student nurse', 'undergraduate programme', 'curriculum design', and 'attrition'. Mixed Method Appraisal Tools were used to evaluate the methodological quality of the identified research papers. A total of 16 publications were reviewed and four themes were identified: pre-enrolment criteria for recruiting nursing students; curriculum content; clinical placement-related policies; and student support services. Institutional-level risk factors that could be reduced were identified, including academic failure, poor clinical performance, stress, and unrealistic expectations of nursing. This review gives insights into how a curriculum for undergraduate nursing programmes can be designed that will engage students and increase the nursing workforce.

journal_name

Nurse Educ Today

journal_title

Nurse education today

authors

Chan ZCY,Cheng WY,Fong MK,Fung YS,Ki YM,Li YL,Wong HT,Wong TL,Tsoi WF

doi

10.1016/j.nedt.2018.11.024

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

41-53

eissn

0260-6917

issn

1532-2793

pii

S0260-6917(18)31081-5

journal_volume

74

pub_type

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