Salutogenic nursing education: A summative review

Abstract

Nursing is at a critical point with a global need to increase the number of nurses to provide healthcare. However it is difficult to fulfill that demand because of high attrition rates in nursing school and subsequent attrition in nursing within a few years after graduation. This summative review aims to synthesize salutogenic education research to identify methods suitable to promote retention and maintenance of nursing students in nursing education. Nursing school is inherently stressful often leading to attrition in nursing school. Often those student nurses who graduate are not well equipped to manage stress in the work environment; some leave the nursing profession early in their careers. Thus it is imperative for nursing educators to promote nursing student retention and nursing student wellness so that those students will remain in nursing after graduation.Thirty-nine studies, were selected from peer-reviewed research published in English since 1979, based on inclusion criteria that sense of cohesion (SOC) is a variable with a nursing student, student or educational focus. Evidence indicates students with high SOC experience greater psychosocial functioning and that SOC is related to social dimensions of the learning environment. In addition, resilience is an important consideration since some students are able to "beat the odds" and develop high SOC and social functioning.Consensus regarding academic success was not found; however, longitudinal studies suggest students with high SOC have long-term academic and employment success. Gender findings were mixed implying context is an important consideration. Multiple studies support the premise that higher SOC is associated with student perceptions of less stress, better health, wellbeing and better quality of life. There exists a large gap in the body of knowledge related to research of interventions promoting nursing student wellness using SOC. Further research is needed to determine how we teach and whether the integration of salutogenic concepts into nursing education can promote academic success in nursing students.

Sense of Coherence and Burnout in Healthcare Professionals in the COVID-19 Era

“…Suffering has been defined as a state of severe distress associated with events that threaten human integrity and intactness ( 29 ). In its holistic salutogenic aspect, suffering has been presented as a potential positive source of learning that can contribute to the restoration of lost or threatened integrity ( 30 , 31 ).…”

Indices of successful partnerships in academic and clinical nursing: A literature review

“…Although several attempts have been made to reverse this, issues remain, including failure or excessive lag time in incorporating or deleting clinical practices based on current evidence; and problematic outcomes such as diminished patient care and inefficient nursing practice (Hanberg and Brown, 2006). Today, nursing leaders address a myriad of issues including faculty and clinical nursing staff shortages, inadequate college preparation, redesigned nursing roles, a heightened need for evidence-based practice, the impact of regulations, generational differences, information technology, rising health care costs, and other international forces associated with globalization (Adams and Scheuring, 2000;Cuellar and Zaiontz, 2013). Efforts have been made to transform the nursing profession through strong academic and clinical partnerships since the 1950s to strengthen professional regulation that employ strategic, rather than operational, oversight for nursing (de Geest et al, 2010;Cronenwett, 2011).…”

Extent of Collaboration in Building Academic – Service Partnerships in Nursing

“…For instance, the nursing education sector is bombarded with faculty and clinical staff shortage, burdened curriculum, and inadequate precollegiate preparation of the students. On the other hand, there is a growing concern in the nursing service industries to expand the roles of nurses, a heightened need for evidence-based practice, the impact of professional regulations and legislations in the practice of nursing, generational differences, and radical reforms in healthcare delivery system (Cuellar & Zaiontz, 2013). Concomitantly, a strong connectivity has been established between these issues and diminished patient care, inefficient nursing practice, failure or excessive lag time in incorporating or deleting clinical practices based on the current evidence (Hanberg & Brown, 2006).…”