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The wicked problem of healthcare student attrition

The early withdrawal of students from healthcare education programmes, particularly nursing, is an international concern and, despite considerable investment, retention rates have remained stagnant. Here, a regional study of healthcare student retention is used as an example to frame the challenge o...

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Detalles Bibliográficos
Autores principales: Hamshire, Claire, Jack, Kirsten, Forsyth, Rachel, Langan, A. Mark, Harris, W. Edwin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286456/
https://www.ncbi.nlm.nih.gov/pubmed/31056831
http://dx.doi.org/10.1111/nin.12294
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author Hamshire, Claire
Jack, Kirsten
Forsyth, Rachel
Langan, A. Mark
Harris, W. Edwin
author_facet Hamshire, Claire
Jack, Kirsten
Forsyth, Rachel
Langan, A. Mark
Harris, W. Edwin
author_sort Hamshire, Claire
collection PubMed
description The early withdrawal of students from healthcare education programmes, particularly nursing, is an international concern and, despite considerable investment, retention rates have remained stagnant. Here, a regional study of healthcare student retention is used as an example to frame the challenge of student attrition using a concept from policy development, wicked problem theory. This approach allows the consideration of student attrition as a complex problem derived from the interactions of many interrelated factors, avoiding the pitfalls of small‐scale interventions and over‐simplistic assumptions of cause and effect. A conceptual framework is proposed to provide an approach to developing actions to reduce recurrent investment in interventions that have previously proved ineffective at large scale. We discuss how improvements could be achieved through integrated stakeholder involvement and acceptance of the wicked nature of attrition as a complex and ongoing problem.
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spelling pubmed-92864562022-07-19 The wicked problem of healthcare student attrition Hamshire, Claire Jack, Kirsten Forsyth, Rachel Langan, A. Mark Harris, W. Edwin Nurs Inq Feature Articles The early withdrawal of students from healthcare education programmes, particularly nursing, is an international concern and, despite considerable investment, retention rates have remained stagnant. Here, a regional study of healthcare student retention is used as an example to frame the challenge of student attrition using a concept from policy development, wicked problem theory. This approach allows the consideration of student attrition as a complex problem derived from the interactions of many interrelated factors, avoiding the pitfalls of small‐scale interventions and over‐simplistic assumptions of cause and effect. A conceptual framework is proposed to provide an approach to developing actions to reduce recurrent investment in interventions that have previously proved ineffective at large scale. We discuss how improvements could be achieved through integrated stakeholder involvement and acceptance of the wicked nature of attrition as a complex and ongoing problem. John Wiley and Sons Inc. 2019-05-06 2019-07 /pmc/articles/PMC9286456/ /pubmed/31056831 http://dx.doi.org/10.1111/nin.12294 Text en © 2019 The Authors. Nursing Inquiry published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Feature Articles
Hamshire, Claire
Jack, Kirsten
Forsyth, Rachel
Langan, A. Mark
Harris, W. Edwin
The wicked problem of healthcare student attrition
title The wicked problem of healthcare student attrition
title_full The wicked problem of healthcare student attrition
title_fullStr The wicked problem of healthcare student attrition
title_full_unstemmed The wicked problem of healthcare student attrition
title_short The wicked problem of healthcare student attrition
title_sort wicked problem of healthcare student attrition
topic Feature Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286456/
https://www.ncbi.nlm.nih.gov/pubmed/31056831
http://dx.doi.org/10.1111/nin.12294
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