Internal Medicine Nursing Education Enhances Student Competency and Care Quality through Structured Training Modules

Rajmonda Milloshi ^1*, Aida Zotaj Lako ²

Structured training modules in internal medicine nursing enhance student competency, improve diagnostic accuracy, and optimize patient care quality.

Abstract

Background: The evolving demands of healthcare and advances in medical science have reshaped nursing practices, emphasizing the need for methodical and efficient care delivery. The nursing process, central to modern nursing, facilitates personalized care and priority-setting, essential in today's healthcare landscape. This study explores the impact of a structured internal medicine nursing practice training module on student competency, with a focus on diagnostic accuracy and patient care planning. Methods: An illustrative study was conducted with 130 second-year nursing students at a state-funded university from 2014 to 2016. Students participated in a training module designed around Gordon's functional health patterns, aimed at improving their practical skills in internal medicine. Data were collected through questionnaires assessing students' perceptions of the module's effectiveness in clinical practice, with analyses performed using SPSS. Results: The training module significantly enhanced students' confidence and efficiency in diagnosing and planning care, with 51% of participants finding it "Very helpful" in identifying issues and 80% supporting its use in creating nursing interventions. However, some challenges were noted, particularly in the areas of critical thinking and theoretical knowledge application. Conclusion: The internal medicine nursing practice training module proves to be an effective tool in improving students' clinical skills, diagnostic accuracy, and patient care outcomes. Addressing the identified challenges in critical thinking could further enhance the module's impact, ensuring that future nurses are well-equipped to meet the demands of modern healthcare.

Keywords: Nursing Education, Internal Medicine, Clinical Practice, Diagnostic Criteria, Patient Care

References

Almutary, H., & Tayyib, N. (2020). Factors associated with exercise self-efficacy among people with chronic diseases. Applied nursing research, 54, 151275.

Cao, X., Chen, L., Tian, L., & Diao, Y. (2016). The effect of perceived organisational support on burnout among community health nurses in China: the mediating role of professional self-concept. Journal of nursing management, 24(1), E77-E86.

Chen, S. H., Liu, J. E., Bai, X. Y., Yue, P., & Luo, S. X. (2021). Providing targeted psychological support to frontline nurses involved in the management of COVID-19: An action research. Journal of nursing management, 29(5), 1169-1179.

Chen, X., Huang, X., & Yin, M. (2022). Implementation of Hospital-to-Home Model for Nutritional Nursing Management of Patients with Chronic Kidney Disease Using Artificial Intelligence Algorithm Combined with CT Internet+. Contrast media & molecular imaging, 2022.

Dogan, M. D. (2017). Nursing diagnoses determined by second year students. Journal of Patient Care, 3(1), 1-3.

Enç, N., Can, G., Özcan, S., Tülek, Z., Uysal, H., & Alkan, H. (2012). Internal Medicine Nursing Practice Student Training Module. [IçHastaliklariHemsireligiUygulamaÖgrenciEgitimModülü.] Nobel TipKitapevleri, Istanbul, p.7-39.

Gee, E. (2018). Principles and nursing management of anticoagulation. Nursing Standard, 32(23).

Gonçalves, M. I. R., Mendes, D. A., Caldeira, S., Jesus, E., & Nunes, E. (2022). Nurse-Led care management models for patients with Multimorbidity in hospital settings: A Scoping review. Journal of Nursing Management, 30(6), 1960-1973.

Gusar, I., Lazinica, A., & Klarin, M. (2020). Work motivation, job satisfaction, and nursing record-keeping: do they differ in surgery and internal disease departments?. Central European Journal of Nursing and Midwifery, 11(4), 163-170.

Hidayat, A. A. A. (2015). Model documentation of assessment and nursing diagnosis in the practice of nursing care management for nursing stude. International Journal of Advanced Nursing Studies, 4(2), 158-163.

Jiang, W., Zhang, Y., Yan, F., Liu, H., & Gao, R. (2020). Effectiveness of a nurse-led multidisciplinary self-management program for patients with coronary heart disease in communities: A randomized controlled trial. Patient Education and Counseling, 103(4), 854-863.

Karakoç-Kumsar, A., Polat, S., & Afsar-Dogrusöz, L. (2020). Determining attitudes of nurses toward evidence-based nursing in a university hospital sample. Florence Nightingale journal of nursing, 28(3), 268.

Khudur, A. P. (2019). Effectiveness of an Education Program on Nurses knowledge concerning in Nursing Management for patients with Third degree and bundle branch block in Kirkuk Teaching Hospitals. Mosul J Nurs, 7, 8-20.

Labrague, L. J., de Los Santos, J. A. A., & Fronda, D. C. (2022). Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic. Journal of nursing management, 30(1), 62-70.

Li, G., & Li, Q. (2019). Application of Informationized Nursing Management Measures in Critical Care Medicine. Investigación Clínica, 60(1), 69-78.

Li, Q., & Chen, Y. (2021). Application of intelligent nursing information system in emergency nursing management. Journal of Healthcare Engineering, 2021, 1-13.

Liu, Y., Aungsuroch, Y., Gunawan, J., Sha, L., & Shi, T. (2021). Development and psychometric evaluation of a quality nursing care scale from nurses’ perspective. Nursing Open, 8(4), 1741-1754.

Padilha, J. M., Sousa, P. A. F., & Pereira, F. M. S. (2018). Nursing clinical practice changes to improve self-management in chronic obstructive pulmonary disease. International nursing review, 65(1), 122-130.

Piao, J., Jin, Y., & Lee, S. M. (2018). Triggers and nursing influences on delirium in intensive care units. Nursing in Critical Care, 23(1), 8-15.

Yilmaz, F. T., Sabanciogullari, S., & Aldemir, K. (2015). The opinions of nursing students regarding the nursing process and their levels of proficiency in Turkey. Journal of caring sciences, 4(4), 265.