Table 2.
Thems, categories, sub-categories, and meaning unites extracted from the analysis interviews
| Themes | Categories | Sub-categories | Meaning unites |
|---|---|---|---|
| From contrast to alignment with professional competence | Agents of incivility behaviors | Breaking the norms | Disorderliness, not following the professional dress code, wearing incomplete uniforms, absenteeism, cheating, tardiness |
| Insulting and offending | Treating the teaching staff uncivilly, annoying educators, nonacademic behaviors, inappropriate postures, making inappropriate jokes during practical training and internship, unconventional behaviors, insults or verbal violence, conflicts with peers. | ||
| Violating the values | Deceiving the educators, lying to educators, making light of the class, disobeying educators | ||
| Self-centeredness | Lack of coordination with the group, disagreeing, condescending behavior towards peers, disregarding others’ views, dominating the group, imposing one’s own views. | ||
| Role models | Behavioral models | As models in respecting educators, effect on peer attitudes, the observance of ethical considerations, politeness, and behavioral maturity | |
| Care models | As care models, the indirect teaching of report writing As positive models for communication with patients, learning how to interact with patients from practical nurses, learning how to socialize, gaining skills in interacting with others. |
||
| Interactional models | As positive models for communication with patients, learning how to interact with patients from practical nurses, learning how to socialize, gaining skills in interacting with others. | ||
| Peaceful coexistence in the educational process | Unequal educational atmosphere | Discrimination | Feelings of injustice in the peers, special attention paid to practical nurses by educators, trusting practical nurses more than other students, disregarding the absenteeism of practical nurses, cooperating with practical nurses, injustice in educational evaluation |
| Depriving others of learning opportunities | Snatching work and responsibility from other students, disrupting others’ concentration, volunteering for performing procedures, interrupting the teaching of educators, the cancellation of the practical training sessions due to the absence of students with Practical Nursing Diplomas (PNDs). | ||
| Establishing informal relationships with clinical nurses and educators | Establishing friendly relationships with the staff, the toleration of the unruly behaviors of students with PNDs by the staff because of previous familiarity and acquaintanceship | ||
| Facilitating the teaching-learning process | Assistant educators | Putting students under the supervision of practical nurses if necessary, as completers of the education offered by educators, attempts at cooperation with the educators, as facilitators of the relationship between educators and ward staff, helping with the management of the practical training sessions, helping with the understanding of the materials taught by educators, acting as leaders in internship and practical training sessions, the use of the experiences of practical nurses in classes. | |
| Mentor | Attempting to transfer the knowledge to peers, acting as mediators in practical training sessions, working with peers, higher self-confidence of the peers in the presence of practical nurses, feelings of responsibility of practical nurses towards peers, practical nurses as supporters of students, helping the training of inexperienced students, having experience, explaining the procedures to peers, attempting to transfer learning. | ||
| Decreasing stress and creating a secure learning environment | Peers feeling calm in the presence of practical nurses, alleviating stress, teaching others how to manage stress, getting help from practical nurses in cases of difficulty, experiencing lower stress levels in the presence of practical nurses. | ||
| Teaching retention skills and preparation for work | Giving the needed career information to peers, explaining the difficulties of nursing, explaining the advantages and disadvantages of different wards, explaining the process finding employment, and salaries and benefits to peers, learning about the details of nursing jobs from practical nurses. | ||
| The reflection of perceived reality in the clinical environment | Neglecting the principle of learning | Passivity in learning | Not having dynamic personalities, inadequate excitement about the learning process, lack of creativity, not being eager to learn, academic stagnation of practical nurses, not being inquisitive. |
| Unmotivated and demotivating | Discouraging peers, demotivating peers, transferring feelings of disillusionment to peers, unhappiness with the nursing career and expressing this unhappiness, disinterest in practical work, not applying oneself to one’s work | ||
| Obsession with degrees and credentialism | Credentialism, studying with objectives other than learning, disregarding the grades, not having clear goals. | ||
| Role conflict | Conflicts between current jobs and training sessions, absenteeism because of occupational engagements, being very busy, being preoccupied with personal issues rather than the academic work and training sessions, not performing the assignments because of occupational engagements. | ||
| Belief in the theory-practice gap | Professional superficiality | Considering the scientific aspect of the procedures as unimportant, poor theoretical knowledge of practical nurses preventing them from enacting principled evidence-based nursing practices, having a superficial view toward nursing, considering the nursing process some sort of bureaucracy, disregarding theory, encouraging other students to perform just routine work, ignoring the nursing professionalism, making nursing efforts look unimportant, overlooking details, viewing care inaccurately and inexactly, performing tasks perfunctorily. | |
| Avoidance of rethinking | Not encouraging peers to rethink, lack of confidence in practical nurses, especially in intensive care. | ||
| Weak knowledge-based practice | Working in an unprincipled manner, emphasizing the practical side of work, not observing aseptic principles and techniques, working shoddily, teaching peers in an unprincipled manner, emphasizing practice over theory and science. |