Background: The shift in healthcare to extramural leads to more patients with complex health problems receiving nursing care at home. However, the interest of baccalaureate nursing students for community nursing is moderate, which contributes to widespread labour-market shortages. This study investigates the effect of a more ‘communitycare-oriented’ curriculum on nursing students’ perceptions of community care. Methods: A quasi-experimental quantitative survey study with a historic control group (n = 477; study cohorts graduating in 2015, 2016, and 2017; response rate 90%) and an intervention group (n = 170; graduating in 2018; response rate 93%) was performed in nursing students of a University of Applied Sciences in a large city in the Netherlands. The intervention group underwent a new curriculum containing extended elements of community care. The primary outcome was assessed with the Scale on Community Care Perceptions (SCOPE). The control and intervention group were compared on demographics, placement preferences and perceptions with a chi-square or T-test. Multiple regression was used to investigate the effect of the curriculum-redesign on nursing students’ perceptions of community care.Results: The comparison between the control and intervention group on students’ perceptions of community care shows no significant differences (mean 6.18 vs 6.21 [range 1–10], respectively), nor does the curriculum-redesign have a positive effect on students’ perceptions F (1,635) = .021, p = .884, R2 = < .001. The comparison on placement preferences also shows no significant differences and confirms the hospital’s popularity (72.7% vs 76.5%, respectively) while community care is less often preferred (9.2% vs 8.2%, respectively). The demographics ‘working in community care’ and ‘belonging to a church/religious group’ appear to be significant predictors of more positive perceptions of community care. Conclusions: Graduating students who experienced a more ‘community-care-oriented’ curriculum did not more often prefer community care placement, nor did their perceptions of community care change. Apparently, four years of education and placement experiences have only little impact and students’ perceptions are relatively static. It would be worth a try to conduct a large-scale approach in combination with a carefully thought out strategy, based on and tying in with the language and culture of younger people. Keywords: Community care, Nurse education, Curriculum design, Perceptions, Career choice
The Fontys University of professional Education, department of Mechanical Engineering, has started development of a new curriculum during the year 2000-2001, Human Mechanical Engineering (HME). Next to immersion of our students in actual technology practices, we aim to include for our students new topics in the field of Mechanical Engineering. We aim to include methods and an approach towards a career as an intermediary between the market and the company. We also include a well developed valuesystem, compatible with the working of Society, a sense of responsibility and a capacity for independent thought. Skills such as entrepeneurship and following market developments are combined with management of product-creation processes and some depth in selected mechanical engineering topics. The curriculum will be designed with 14 so-called competences as educational targets (See also Dick van Schenk Brill & Peter Boots 2001). Knowledge as well as skills and attitudes are combined in a competence in such a way that it meets a standard of behaviour for an excellent engineer. Also the individual career expectations will be used to arrive at optimal choices for papers, assignments and traineeships for every given student. At this moment recruitment is at full speed. During the season 2001-2002 further developments will be undertaken from a general baseline within the department of Mechanical Engineering. Furthermore work will be done on implementing interdisciplinary (Hans van Zonneveld & Hay Geraedts 1997) as well as international collaboration and communication (Peter van Kollenburg & Hay Geraedts 2001) and further developments into topics like sustainability and ethics.
We examined the various career paths of PhDs in the Netherlands. In this publication, we feature the personal stories of ten of our study participants, detailing their careers both within and outside of academia. The ten portraits of PhD graduates are complemented by three portraits of employers describing their experiences working with PhDs. The personal accounts featured in this publication contain a wealth of information and recommendations for PhD students, universities and employers alike.
