Lloyd Jones M, Akehurst R
Medical Care Research Unit, University of Sheffield School of Health and Related Research, England.
J Adv Nurs. 2000 Aug;32(2):432-6. doi: 10.1046/j.1365-2648.2000.01494.x.
The authors have argued elsewhere that second- and third-year student nurses and midwives on ward-based clinical placements make a service contribution which is of significant value to the service provider. The value of the service contribution made by students in community-based clinical placements is lower, not least because such placements cannot free staff time in the same way as on the wards, and thus the presence of students appears to form a cost to the service provider. It is clear that there is no case for introducing a system of payments for ward-based placements, but in community-based placements the position is less obvious. The argument hinges upon the perceived value to the service provider of the qualitative benefits associated with the presence of students on placement. Other studies have suggested that these benefits are such as to outweigh the associated costs. Because the presence of students on clinical placement is associated with both costs and benefits, efforts should be made to ensure that both ward-based and community-based placements are distributed as fairly as possible between locations so that no one location is unduly advantaged or disadvantaged by the number of students which it receives.
作者们在其他地方曾指出，在病房进行临床实习的二、三年级护理专业学生和助产专业学生能做出服务贡献，这对服务提供者具有重大价值。在社区进行临床实习的学生所做服务贡献的价值较低，尤其是因为这类实习无法像在病房那样腾出工作人员的时间，因此学生的存在似乎对服务提供者构成了成本。显然，没有理由为病房实习引入付费制度，但在社区实习方面，情况则不那么明显。争论的关键在于服务提供者对学生实习所带来的定性益处的感知价值。其他研究表明，这些益处超过了相关成本。由于学生临床实习的存在既有成本也有益处，所以应努力确保病房实习和社区实习在不同地点之间尽可能公平地分配，以使任何一个地点都不会因接收的学生数量而过度受益或受损。
