Hyde Abbey, Brady Dympna
School of Nursing and Midwifery, University College Dublin, National University of Ireland, Dublin, Ireland.
J Adv Nurs. 2002 Jun;38(6):624-32. doi: 10.1046/j.1365-2648.2002.02230.x.
BACKGROUND/RATIONALE: In the Republic of Ireland, the amount of clinical teaching expected of staff nurses has increased substantially in the wake of the transfer of nursing education to universities, and the advent of supernumerary status for students. A modicum of previous research noted that staff nurses are unclear about their role in relation to facilitating the clinical learning of supernumerary students.
To explore staff nurses' perceptions of their role in the facilitation of learning for university-educated diploma students in the clinical area and their attitudes towards these students.
DESIGN/METHODS: Sixteen staff nurses were interviewed in depth using semi-structured interviews. Data were analysed qualitatively, using content analysis, with the help of the software package NUD*IST.
Among the central themes to emerge, upon which this article is focused, was participants' perceptions of supernumerary status compared with rostered service for diploma students. Data suggested that the rostered status of students was generally favoured by staff nurses over and above supernumerary status because, unlike supernumerary students, rostered students did not disrupt the existing social structure within the clinical setting. Both structuration theory and role theory are drawn upon to explain the reproduction of the prevailing social structure, where the concentration is on getting through nursing work with little emphasis on the supervised learning of supernumerary students.
This study is constrained by eliciting only the views of staff nurses. Further studies are required of student nurses' experiences of rostered service and supernumerary status.
Because staff nurses are part of the system within which they work, they need to modify their role to include active student teaching as a legitimate component of that role.
背景/基本原理:在爱尔兰共和国,随着护理教育向大学的转移以及学生超编状态的出现,对注册护士临床教学的期望大幅增加。先前的少量研究指出,注册护士对于他们在促进超编学生临床学习方面的角色并不明确。
探讨注册护士对于在临床领域促进大学学历文凭学生学习中自身角色的认知以及他们对这些学生的态度。
设计/方法:采用半结构化访谈对16名注册护士进行了深入访谈。借助NUD*IST软件包,运用内容分析法对数据进行了定性分析。
在出现的核心主题中(本文聚焦于此),是参与者对文凭学生超编状态与排班服务状态的认知。数据表明,与超编状态相比,注册护士总体上更倾向于学生的排班状态,因为与超编学生不同,排班学生不会扰乱临床环境中的现有社会结构。运用结构化理论和角色理论来解释当前社会结构的再生产,即专注于完成护理工作,而很少强调对超编学生的监督学习。
本研究仅获取了注册护士的观点,存在一定局限性。需要进一步研究实习护士在排班服务和超编状态下的经历。
由于注册护士是他们工作所在系统的一部分,他们需要调整自己的角色,将积极的学生教学纳入该角色的合理组成部分。