Cunningham Sheila M, Copp Gina, Collins Bernadette, Bater Mike
School of Health and Social Science, The Archway Campus, Middlesex University, Highgate Hill, London N19 3UA, UK.
Eur J Oncol Nurs. 2006 Feb;10(1):59-67. doi: 10.1016/j.ejon.2005.05.004. Epub 2005 Jul 12.
The preparation of nurses caring for cancer patients remains a topical subject. The recent emphasis on the preparation of an effective and informed workforce for cancer care at all nursing levels is significant, particularly as the majority of previous studies have traditionally focused on post-registration preparation of qualified nurses. Currently, there is limited information on the preparation of pre-registered nursing students and little is known about the experiences of these students, especially during their initial exposure to cancer patients. Recently, changes have also been made to the pre-registration nursing programmes in the UK in line with national recommendations leading to much earlier exposures to patient care in practice. This study provides information about nursing students' experiences of caring for cancer patients. Using self-report questionnaires each comprising of 21 Likert scale items, a survey was conducted on a total of 134 students (response rate: 88%) enrolled on the common foundation programme at the end of the first year of their undergraduate nursing programme. Data collected included information about the types of clinical settings where students were exposed to cancer patients, perceptions of their experiences with cancer patients and aspects of educational and clinical inputs perceived as helpful in preparing them to care for cancer patients. Additional insight into the students' experience was further obtained from semi-structured interviews conducted from a total of nine students drawn from the three categories of experiences they identified: positive, non-positive and mixed. The findings and implications for the preparation of pre-registration nursing students in caring for cancer patients were discussed in relation to the theoretical input, clinical support and the use of reflection in practice.
护理癌症患者的护士培训仍是一个热门话题。近期强调在各个护理层面培养一支高效且知识渊博的癌症护理队伍具有重要意义，特别是因为以往大多数研究传统上都集中在对合格护士的注册后培训。目前，关于注册前护理学生培训的信息有限，对于这些学生的经历知之甚少，尤其是在他们初次接触癌症患者期间。最近，英国的注册前护理课程也根据国家建议进行了改革，使得学生在实践中更早接触患者护理。本研究提供了有关护理专业学生护理癌症患者经历的信息。通过使用每份包含21个李克特量表项目的自我报告问卷，对134名本科护理课程第一年结束时参加共同基础课程的学生进行了调查（回复率：88%）。收集的数据包括学生接触癌症患者的临床环境类型、对他们与癌症患者经历的看法，以及被认为有助于他们为护理癌症患者做准备的教育和临床投入方面的信息。通过对从他们所确定的积极、非积极和混合三类经历中抽取的共九名学生进行半结构化访谈，进一步深入了解了学生的经历。结合理论投入、临床支持以及实践反思的运用，讨论了研究结果及其对注册前护理学生护理癌症患者培训的启示。
