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Magnetism in Nursing Education: A Qualitative Embedded Case Study of High-Applicant Nursing Programs Amid a National
Michela Marchi1, Erica Visintini2, Gaia Magro3
1Department of Diagnostic and Public Health, University of Verona, Verona, Italy.
Aims:
To describe the factors that characterise nursing programs that continue to attract a high number of applicants even though the total number of applicants is declining.
Design:
A qualitative embedded case study in Italy on 2025.
Methods:
A purposive sample of four undergraduate nursing programs for which there were more applicants than places in the last three academic years, compared to the rest of the macro-region, where an average ratio of 0.8 applicants/place was documented. Key informants (dean, clinical practice coordinator, nurse educators, students) from each program were involved. A semi-structured, open-ended interview was conducted focusing on the factors that make the identified nursing programs attractive. The recorded interviews (n = 19) were analysed thematically by triangulating the data. A member check was also conducted.
Results:
Five factors make a nursing program attractive: (1) the strategic location of the university, (2) the reputation and influence of the nursing program, (3) the structured, innovative, and open-oriented nursing curriculum, (4) the quality of the tutorial system and (5) the program's commitment to student support and development.
Conclusion:
Even in times of declining enrollment and fewer applicants, certain factors can make a nursing program magnetic.
Implications For The Profession And/Or Patient Care:
The map of emerging factors can serve as a strategy to help nursing programs attract students and improve their overall appeal.
Impact:
What problem did the study address? ○ In some countries, there is a downward trend in applicants to the nursing profession, raising serious concerns about the growing global nursing workforce gap. ○ With the decline in applicants, the long-term sustainability of nursing programs is also at risk. ○ No study has investigated the factors that characterise nursing degree programs, which attract even more applicants in a context of declining attractiveness. What were the main findings? ○ Five magnetic factors have emerged, one of which is external and the others internal to the nursing program. ○ The external factors relate to the program itself-and are embedded in the social, civic and academic environment of the host university and the city. ○ The internal factors relate to the strong leadership and commitment of the nursing programme to promote its quality. Where and on whom will the research have an impact on? ○ Findings may inform actions at the policy, university and individual nursing program levels.
Reporting Method:
COnsolidated criteria for REporting Qualitative Research Checklist.
Patient Or Public Contribution:
Data collection and validation involved citizens (students) attending the identified nursing programs.
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