Volume 7, Issue 4 (Autumn 2021)                   JCCNC 2021, 7(4): 285-294 | Back to browse issues page


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1- Nursing & Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
2- Department of Community Health Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
3- Department of Nursing, School for Health, Alexander Technological Educational Institute (ATEITH) of Thessaloniki, Thessaloniki, Greece.
4- Social Determinants of Health Research Center, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran. , h-hidari@razi.tums.ac.ir
Abstract:   (1720 Views)
Background: Community health nurses have an important role to play in promoting public health. This study attempted to explore the stakeholders’ perceptions of challenges in the public health nursing practicum in Iran. 
Methods: This qualitative study was carried out in some schools of nursing and health centers in Iran from October 2015 to September 2017. Twenty-three participants, including faculty members of public health nursing, nursing students, home nurses, experts in health centers, and nursing education policymakers were selected by purposeful sampling. Data were collected using individual interviews and were analyzed by Lundman and Graneheim’s method of content analysis. 
Results: Three themes resulted from the data analysis, including organizational challenges (with sub-categories of “inappropriate implementation of the curriculum due to lack of authority”, “the treatment-centeredness of health care system”, and “limited fields for nursing practicum”), educational challenges (with sub-categories of “shortcomings of educational curricula” and “the duration and time of practicums”), and workforce challenges (with sub-categories of “the financial burden of public health nursing practicum”, “lack of job position for public health nurses”, and “factors related to the role of instructors”). 
Conclusion: Senior managers, community health center administrators, and educational planners can use the challenges and barriers raised in this study to make more appropriate planning for the training of nursing students in public health nursing practicum.
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● Community health nurses have an important role to play in promoting public health.
● Public health nursing aims to promote and protect the health of people based on nursing knowledge, public health measures, and social sciences.
● It is necessary to assess and evaluate practical nursing education programs from the perspective of those involved.
● The participants of this study summarized the barriers to student nurses’ education in public health practicum as organizational, educational, and workforce challenges. 

Plain Language Summary 
Community health nurses are known as key members of the health care team who can deliver health care services to clients in three levels of prevention in the community. Practical training is a vital dimension of nursing education, and community health nursing students should be competent for providing health care in the community. The findings of this study revealed that Iranian nursing students face numerous organizational, educational, and workforce challenges in their public health practicum. 

Type of Study: Research | Subject: General
Received: 2021/08/15 | Accepted: 2021/09/15 | Published: 2021/11/1

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