Holmström Inger, Larsson Jan
Department of Public Health and Caring Sciences, Section for Health Services Research, Uppsala Science Park, SE-751 85 Uppsala, Sweden.
Nurse Educ Today. 2005 Feb;25(2):148-55. doi: 10.1016/j.nedt.2004.11.005. Epub 2005 Jan 25.
There is a current need for nurses to take on new roles due to changing health care policies, economic cut-backs and shortage of staff. It is therefore important to study nursing students' view of their future profession. The theoretical framework was contemporary theories of competence development, which has shown that people's understanding of their work is expressed in their actions. The aim of this study was to describe nursing students' understanding of their future professional role in health care. A purposeful sample of 12 nursing students wrote narratives. The texts were condensed in five steps using the Empirical Phenomenological Psychological Method. The essence of the students' view of their future work was A tension between genuine nursing care and other duties. Four themes constituted this essence: professional status, working conditions and stress, evidence-based nursing contra holistic care, teamwork, co-operation and disrespect, and intensive care instead of geriatrics. This study highlights pedagogic and practical problems that need to be constructively addressed. The nursing students' eagerness to care in a holistic way needs to be acknowledged and used in a fruitful way. This core function of nursing needs to be integrated with up-to-date nursing research.
由于医疗保健政策的变化、经济削减和人员短缺，目前护士需要承担新的角色。因此，研究护理专业学生对其未来职业的看法很重要。理论框架是能力发展的当代理论，该理论表明人们对工作的理解体现在他们的行动中。本研究的目的是描述护理专业学生对其未来在医疗保健中职业角色的理解。12名护理专业学生的有目的样本撰写了叙述文。使用实证现象学心理学方法分五步对文本进行了浓缩。学生对其未来工作看法的本质是真正的护理照顾与其他职责之间的紧张关系。构成这一本质的四个主题是：职业地位、工作条件与压力、循证护理与整体护理的对立、团队合作、协作与不尊重，以及重症护理而非老年护理。本研究突出了需要建设性地解决的教学和实践问题。护理专业学生以整体方式护理的热情需要得到认可并以富有成效的方式加以利用。护理的这一核心功能需要与最新的护理研究相结合。
