"Balancing two worlds": a constructivist grounded theory exploring distributed/decentralised nursing education in rural and remote areas in Canada and Norway.

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  • Additional Information
    • Source:
      Publisher: Taylor & Francis Country of Publication: United States NLM ID: 9713056 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2242-3982 (Electronic) Linking ISSN: 12399736 NLM ISO Abbreviation: Int J Circumpolar Health Subsets: MEDLINE
    • Publication Information:
      Publication: 2016- : Philadelphia, PA : Taylor & Francis
      Original Publication: Oulu, Finland : International Union for Circumpolar Health and the Nordic Society of Arctic Medicine, [1997-
    • Subject Terms:
      Education, Nursing* ; Students, Nursing* ; Education, Nursing, Baccalaureate*/methods; Humans ; Grounded Theory ; Canada ; Norway
    • Abstract:
      A challenge confronting northern nursing is delivery of equitable and culturally competent nursing education. Advances in technology support distributed approaches for decentralised learning and enhance the feasibility of nursing education in rural and remote regions. However, there is limited scholarship on distributed/decentralised technologies in nursing education, particularly in northern and circumpolar regions. The purpose of this constructivist grounded theory research was to develop an enhanced understanding of the unique experiences of students, faculty and administrators who use distributed/decentralised methods and technology. Open-ended interviews were completed in 2015-17 with nursing students ( n  = 8), faculty and administrators ( n  = 6) at two universities using distributed/decentralised educational strategies in northern and circumpolar regions. Interviews, journal entries, field notes and memos, were analysed using grounded theory procedures. Findings indicated that distributed/decentralised programs offered rural and remote students educational possibilities that "fit" which would not have otherwise existed. However, Balancing Two Worlds created a collision of roles resulting in the potential loss of balance. Students rectified the Fear of "Falling Off" of their program through four subprocesses: Being Disciplined, Having Realistic Expectations, Planning Ahead and Staying Motivated which provided structure and predictability. Findings support the development of empirical knowledge regarding distributed/decentralised technologies in nursing education and a foundation for future research.
    • References:
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    • Contributed Indexing:
      Keywords: Distributed nursing education; Northen nursing educcation; Technology; decentralised nursing education; grounded theory; remote nursing education
    • Publication Date:
      Date Created: 20231121 Date Completed: 20231127 Latest Revision: 20240407
    • Publication Date:
      20240407
    • Accession Number:
      PMC10997294
    • Accession Number:
      10.1080/22423982.2023.2281100
    • Accession Number:
      37988386