RESUMEN
PURPOSE: This article describes the results of a study into how first-year nursing students' perceptions of psychiatric patients and mental health care influence their choice of specialization in mental health care and future working in this sector. METHOD: A descriptive qualitative study design with semi-structured interviews. Respondents were selected through purposive sampling among all first-year bachelor students attending a Dutch school of nursing. RESULT: First-year nursing students have stereotype, mostly negative perceptions of psychiatric patients and mental health care. These perceptions strongly influence their future professional choices. The respondents provided various reasons for their decision not to major in mental health care, one of these being that the school did too little to counsel and inform them about mental health issues and a career in mental health care. As a result, their unrealistic perceptions prevailed. CONCLUSION: If schools offering bachelor of nursing programmes do not sufficiently counsel and inform students about mental health care, students will leave school with their stereotype, negative perception of mental health care intact. Mental health care institutions will run a great risk of losing potentially good nurses.
Asunto(s)
Actitud del Personal de Salud , Selección de Profesión , Bachillerato en Enfermería , Motivación , Enfermería Psiquiátrica , Estudiantes de Enfermería/psicología , Adulto , Actitud Frente a la Salud , Bachillerato en Enfermería/organización & administración , Necesidades y Demandas de Servicios de Salud , Humanos , Medios de Comunicación de Masas , Países Bajos , Investigación en Educación de Enfermería , Investigación Metodológica en Enfermería , Enfermería Psiquiátrica/educación , Enfermería Psiquiátrica/organización & administración , Investigación Cualitativa , Autoevaluación (Psicología) , Percepción Social , Estereotipo , Encuestas y Cuestionarios , Orientación VocacionalRESUMEN
Introducing a gelling step during antibiotic incorporation has previously been found to delay vancomycin delivery from a calcium polyphosphate matrix intended for local treatment of bone infections. This study examined the general applicability of this approach using cefuroxime, a lower-molecular-weight antibiotic with different charge characteristics compared with those of vancomycin. A calcium polyphosphate/cefuroxime paste was "gelled" in disk form in a humid environment for 5 or 24 hours prior to drying. Antibiotic release in Tris-buffered saline under gentle agitation was monitored over a seven-day period. While non-gelled samples clearly exhibited a burst release, the gelling process significantly retarded early antibiotic release from five- and 24-hour gelled matrices, yielding a constant release rate over the first four days. Cefuroxime incorporation did not appear to alter matrix structure or degradation. Overall, this non-aggressive process effectively trapped cefuroxime and reduced its release rate, suggesting its potential applicability with molecularly diverse therapeutic agents.